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Jean-nicolas Dacher - One of the best experts on this subject based on the ideXlab platform.
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SHORT REPORT Defecography in symptomatic older women living at home
2015Co-Authors: Guillaume Savoye, Anne-marie Leroi, Edith Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75–93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77 % rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:AIM: To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. METHODS: Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. RESULTS: Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). CONCLUSION: For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Defecography in symptomatic older women living at home
Age and ageing, 2003Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, E. Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75-93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.
Guillaume Savoye - One of the best experts on this subject based on the ideXlab platform.
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SHORT REPORT Defecography in symptomatic older women living at home
2015Co-Authors: Guillaume Savoye, Anne-marie Leroi, Edith Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75–93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77 % rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:AIM: To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. METHODS: Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. RESULTS: Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). CONCLUSION: For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Defecography in symptomatic older women living at home
Age and ageing, 2003Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, E. Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75-93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.
W. R. Schouten - One of the best experts on this subject based on the ideXlab platform.
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role of Defecography in predicting clinical outcome of rectocele repair
Diseases of The Colon & Rectum, 1997Co-Authors: A Z Ginai, M J Gosselink, W M Huisman, H J Bonjer, W. R. SchoutenAbstract:PURPOSE: The aim of this study was to evaluate the role of Defecography in predicting clinical outcome of rectocele repair. METHODS: Between January 1988 and July 1994, 74 consecutive patients (median age, 54 (range, 35–81) years) with a rectocele and symptoms of obstructed defecation were studied prospectively. After preoperative evaluation by a standardized questionnaire, physical examination, and Defecography, a combined transvaginal/transanal rectocele repair was performed. At follow-up, all patients had Defecography. Long-term results were qualified by an independent observer after a median follow-up of 58 (range, 14–89) months as “excellent,” “good,” or “poor.” RESULTS: Rectocele repair was considered excellent in 37 patients and good in 13 patients. Defecography six months after surgery did not show persistent or recurrent rectocele in any of the patients. Size of the rectocele, barium-trapping in the rectocele, internal intussusception, rectal evacuation, and perineal descent did not appear to influence clinical outcome. Radiologic evidence of anismus did not correlate with longterm results of rectocele repair. CONCLUSIONS: Combined transanal/transvaginal repair of rectocele is an efficient therapy in patients with obstructed defecation. Various defecographic parameters (size of rectocele, internal intussusception, rectal evacuation, perineal descent, radiologic signs of anismus) do not appear to influence clinical outcome of surgery. The main value of Defecography is the objective demonstration of rectocele and any associated abnormalities such as an enterocele preoperatively and again in objective assessment of the postoperative results.
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Role of Defecography in predicting clinical outcome of rectocele repair
Diseases of the colon and rectum, 1997Co-Authors: J. H. Van Dam, A Z Ginai, M J Gosselink, W M Huisman, H J Bonjer, Wim C. J. Hop, W. R. SchoutenAbstract:The aim of this study was to evaluate the role of Defecography in predicting clinical outcome of rectocele repair. Between January 1988 and July 1994, 74 consecutive patients (median age, 54 (range, 35-81) years) with a rectocele and symptoms of obstructed defecation were studied prospectively. After preoperative evaluation by a standardized questionnaire, physical examination, and Defecography, a combined transvaginal/transanal rectocele repair was performed. At follow-up, all patients had Defecography. Long-term results were qualified by an independent observer after a median follow-up of 58 (range, 14-89) months as "excellent," "good," or "poor." Rectocele repair was considered excellent in 37 patients and good in 13 patients. Defecography six months after surgery did not show persistent or recurrent rectocele in any of the patients. Size of the rectocele, barium-trapping in the rectocele, internal intussusception, rectal evacuation, and perineal descent did not appear to influence clinical outcome. Radiologic evidence of anismus did not correlate with long-term results of rectocele repair. Combined transanal/transvaginal repair of rectocele is an efficient therapy in patients with obstructed defecation. Various defecographic parameters (size of rectocele, internal intussusception, rectal evacuation, perineal descent, radiologic signs of anismus) do not appear to influence clinical outcome of surgery. The main value of Defecography is the objective demonstration of rectocele and any associated abnormalities such as an enterocele preoperatively and again in objective assessment of the postoperative results.
Céline Savoye-collet - One of the best experts on this subject based on the ideXlab platform.
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:AIM: To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. METHODS: Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. RESULTS: Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). CONCLUSION: For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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[Role of Defecography in female posterior pelvic floor abnormalities]
Gynécologie Obstétrique & Fertilité, 2007Co-Authors: Jean-yves Touchais, Anne-marie Leroi, Céline Savoye-collet, Edith Koning, Philippe DenisAbstract:Pelvic floor abnormalities often impact significantly the quality of life and result in a variety of symptoms, including chronic pelvic pain, fecal incontinence, and obstructed constipation. Fluoroscopic Defecography and MR Defecography enable identification of rectocele, rectal prolapse, enterocele, sigmoidocele with high prevalence in female patients with obstructed constipation, fecal incontinence, and chronic pelvic pain. In this manuscript, we describe the techniques and indications of the two techniques of Defecography. We discuss the abnormalities of the posterior pelvic floor compartment at the origin of constipation, incontinence, chronic pelvic pain. Finally we compare the data obtained by clinical examination and Defecography, remembering that 50% of enterocele and 100% of sigmoidocele are missed at clinical examination.
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Defecography in symptomatic older women living at home
Age and ageing, 2003Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, E. Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75-93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.
Anne-marie Leroi - One of the best experts on this subject based on the ideXlab platform.
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SHORT REPORT Defecography in symptomatic older women living at home
2015Co-Authors: Guillaume Savoye, Anne-marie Leroi, Edith Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75–93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77 % rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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Gender influence on defecographic abnormalities in patients with posterior pelvic floor disorders.
World Journal of Gastroenterology, 2010Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, Edith Koning, Jean-nicolas DacherAbstract:AIM: To compare defecographic abnormalities in symptomatic men and women and to analyze differences between men and age- and symptom-matched women. METHODS: Sixty-six men (mean age: 55.4 years, range: 20-81 years) who complained of constipation and/or fecal incontinence and/or pelvic pain underwent Defecography after intake of a barium meal. Radiographs were analyzed for the diagnosis of rectocele, enterocele, intussusception and perineal descent. They were compared with age- and symptom-matched women (n = 198) who underwent Defecography during the same period. RESULTS: Normal Defecography was observed in 22.7% of men vs 5.5% of women (P < 0.001). Defecography in men compared with women showed 4.5% vs 44.4% (P < 0.001) rectocele, and 10.6% vs 29.8% (P < 0.001) enterocele, respectively. No difference was observed for the diagnosis of intussusception (57.6% vs 44.9%). Perineal descent at rest was more frequent in women (P < 0.005). CONCLUSION: For the same complaint, diagnosis of defecographic abnormalities was different in men than in women: rectocele, enterocele and perineal descent at rest were observed less frequently in men than in women.
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[Role of Defecography in female posterior pelvic floor abnormalities]
Gynécologie Obstétrique & Fertilité, 2007Co-Authors: Jean-yves Touchais, Anne-marie Leroi, Céline Savoye-collet, Edith Koning, Philippe DenisAbstract:Pelvic floor abnormalities often impact significantly the quality of life and result in a variety of symptoms, including chronic pelvic pain, fecal incontinence, and obstructed constipation. Fluoroscopic Defecography and MR Defecography enable identification of rectocele, rectal prolapse, enterocele, sigmoidocele with high prevalence in female patients with obstructed constipation, fecal incontinence, and chronic pelvic pain. In this manuscript, we describe the techniques and indications of the two techniques of Defecography. We discuss the abnormalities of the posterior pelvic floor compartment at the origin of constipation, incontinence, chronic pelvic pain. Finally we compare the data obtained by clinical examination and Defecography, remembering that 50% of enterocele and 100% of sigmoidocele are missed at clinical examination.
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Defecography in symptomatic older women living at home
Age and ageing, 2003Co-Authors: Céline Savoye-collet, Anne-marie Leroi, Guillaume Savoye, E. Koning, Jean-nicolas DacherAbstract:Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population. Objective: this study aimed to analyse the yield of Defecography in women older than 75 years, living at home and complaining of defecation disorders. Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France. Subjects and methods: 52 women (mean age: 78, range: 75-93) complaining of constipation, faecal incontinence or pelvic pain underwent Defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria. Results: Defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by Defecography. Conclusions: Defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.
